The child and adolescent psychiatrist must have a thorough understanding of the development, assessment, multimodal treatment and prevention of psychopathology as it appears from infancy through adulthood. He or she must be able to differentiate normal development from deviations in development. He or she must demonstrate the knowledge, attitudes and skills to care for children, adolescents and families in a wide range of settings including: inpatient and partial hospital units, emergency departments, outpatient clinics and in other settings that include pediatric wards, juvenile court and school clinics and community health centers. Residents are expected to develop comprehensive formulation of cases and implement a multimodal treatment plan. The competent resident must be able to integrate the knowledge, attitudes and skills learned through clinical rotations and didactic seminars in the care of his or her patients.

KnowledgeIn each year of training, the resident must demonstrate increasing knowledge of thefollowing areas related to patient care:

-- Use of the electronic medical record for documentation of assessment and treatment and as a means of learning about the need for proper record keeping along with a means for faculty to evaluate comprehensive case formulation and treatment planning.

-- Impact of duty hours and fatigue and sleep deprivation on patient safety and care.

-- Importance of transition of care, hand offs and other aspects of patient safety and care.

-- Importance of quality improvement of the individual and system of care.

SkillsIn each year of training, the resident must demonstrate increasing skill in each of the followingareas related to patient care:

-- Ability to perform and document a comprehensive psychiatric history and examination of children, adolescents, adults and families including:

-- a complete present and past psychiatric history

-- a developmental history

-- a social and educational history

-- a family history

-- a substance abuse history

-- a medical history and review of systems

-- a pediatric neurological examination

-- a comprehensive mental status examination, including the assessment of cognitive functioning

-- Based on a comprehensive psychiatric assessment (see #1), ability to develop and document:

-- Ability to assess, discuss, document and intervene comprehensively concerning the patient’s potential for self-harm or harm to others. This shall include:

-- an assessment of risk based on known risk factors

-- knowledge of involuntary treatment standards and procedures

-- effectively intervening to minimize risk

-- implementing prevention methods for self-harm and harm to others

-- Ability to conduct therapeutic interviews with children, adolescents and families, e.g., the ability to collect and use clinically relevant material, through supportive interventions and exploratory interventions and clarifications